Groin Hernia -- Child

Definition

A groin or inguinal hernia is a bulge in the groin area. It is created when soft tissue pushes through a weak spot in the abdomen wall. Sometimes soft tissue also passes down a canal that connects the scrotum to the abdominal area. This canal is called the inguinal canal.

Symptoms

A bulge is the most common symptom. It may be easier to see this bulge when your child is crying. If your child is relaxed, the bulge may look smaller. Your child may also have some occasional pain in the area.

Hernias can sometimes get caught in the abdominal wall. This is called a strangulated hernia which can lead to more serious symptoms such as:

Severe pain in the groin or abdomen

Fever

Irritability

Rapid heart beat

Abdominal swelling

Loss of appetite

Nausea and vomiting

A strangulated hernia requires emergency care.

Diagnosis

The doctor will ask about your child’s symptoms and medical history. A physical exam will also be done. The doctor will be able to feel your child’s hernia. Other conditions will be ruled out.

An ultrasound may also be done to create images inside your body.

Treatment

Most groin hernias require surgery. The surgery may be:

Open surgery—an incision is made over the area so the doctor has access to the tissue. May be needed if there are complications.

Laparoscopic surgery—small incisions are made so specialized tools can be used to make the repairs.

If your premature baby has a groin hernia, surgery may be postponed for several months.

Prevention

A groin hernia due to a birth defect cannot be prevented.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.